| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,433 |
1,185 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,903 |
2,180 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
159 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
54 |
38 |
$2K |
| 96367 |
|
99 |
65 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
14 |
$703.97 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
16 |
14 |
$568.22 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
44 |
27 |
$250.44 |
| 80053 |
Comprehensive metabolic panel |
165 |
116 |
$93.67 |
| 36415 |
Collection of venous blood by venipuncture |
470 |
370 |
$57.62 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
12 |
$8.48 |